Tiffany Square

Location & what’s nearby

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Nearest of each type, straight-line distance. Hospitals come from the CMS Hospital General Information registry; everything else from Overture Maps (public data). Hospital and park hours are typical — call ahead to confirm.

Quality measures — how residents actually fare

Quality-measure stars summarize outcomes CMS tracks from the assessments each home submits — avoidable hospitalizations and ER visits, falls with injury, pressure ulcers, unplanned weight loss, and long-term antipsychotic use. Because the underlying data is self-reported, weigh a high score against the independent inspection record. Long-stay = permanent residents; short-stay = rehab and post-hospital stays.

Short-stay rehab — if you are coming here from a hospital

Arriving from a hospital right now? Read the discharge guide → — your appeal rights, how to slow a rushed discharge, and what to ask about the numbers below.

56.1% of the Medicare patients who left this home got back to the community and stayed there for at least 31 days — which CMS reads as no different from the national rate. This is CMS’s risk-adjusted rate over 126 Medicare stays in Oct 2022–Sep 2024, and CMS’s own comparison — not ours.

Met the expected recovery: 19.2% of this home’s Medicare short-stay residents left it at or above the ability to care for themselves and move around that CMS predicted for them, across 52 stays in Oct 2024–Sep 2025. The median of the 11,061 homes CMS publishes this for is 56.6%. Read it beside the getting-home figure, not instead of it: unlike the two measures above, CMS makes no better-or-worse call on this one and publishes no confidence interval for it, so this is a comparison and not a verdict — but it is the short-stay measure that separates homes most, and the one to ask about.

Therapy staffing: this home’s payroll records show 0.42 therapist hours per resident per day in 2026Q1 — more than 71% of the 13,892 homes that report any therapy hours at all.

Weekend therapy: weekend therapy hours are 3% of this home’s weekday level — it runs therapy on weekdays, with essentially none at the weekend. The median home that reports therapy runs 13% — weekday-focused therapy is the industry norm, not a shortfall. But recovery does not pause on a Saturday: ask what the weekend actually looks like here.

This section is about rehab stays, not living here. Most of this page — the stars, the quality measures, the inspection record — describes the home the way a permanent resident experiences it. These figures describe the short Medicare stay after a hospital discharge: a hip, a stroke, a bad infection, six weeks and home. They are different residents, different staff, often a different wing. Therapy hours are per resident in the building, not per rehab patient — the count includes every long-stay resident, and they mostly get no therapy at all. So a home with a small rehab wing inside a large nursing population reads low here even if its rehab patients get plenty of therapy, and a mostly-rehab home reads high. Use it to compare homes doing similar work, ask what a rehab resident actually gets in a day, and remember that CMS does not publish therapy minutes per patient — nobody does.

Staffing

How full it usually is: this home is certified for 103 beds and averages 86.6 residents a day — about 84% occupied, or roughly 16 beds typically open. It usually has some room. This is a CMS average, not live availability — no public source publishes real-time vacancies, and a home can be full the day you call. Confirm with the home, and if you need a Medicaid bed specifically, ask about that separately: a home with open beds may still not have an open Medicaid bed.

Against a benchmark — not a legal minimum. In May 2024 CMS finalized the first federal staffing floor for nursing homes: 3.48 total nurse hours per resident per day, including 0.55 RN hours and 2.45 nurse-aide hours. Its hour requirements never took effect and are no longer on the books. Homes had until 2026 (2027 if rural) to comply, and that deadline never arrived: a federal court vacated the hour requirements in April 2025 (CMS has appealed), Congress then barred enforcement until 2034, and CMS formally repealed them by rule effective February 2026. This home is not required to meet these numbers, and is not violating anything by missing them. We still show the comparison because the figures are CMS’s own published estimate of adequate staffing, which makes them a useful yardstick — but they are our benchmark, not federal law: this home’s total nurse staffing of 4.34 hrs/resident/day is at or above the 3.48-hour benchmark and RN staffing of 0.48 is below the 0.55-hour RN benchmark and nurse-aide staffing of 3.20 is at or above the 2.45-hour aide benchmark. What federal law does require today is unchanged: “sufficient” nursing staff for residents’ needs and an RN on duty at least 8 consecutive hours a day, 7 days a week (42 CFR 483.35). Those are judged by inspectors on site, not by these averages, so read this comparison alongside the inspection record rather than as a pass/fail.

Weekend coverage: total nurse staffing is 3.64 hrs/resident/day on weekends vs 4.62 on weekdays — 21% thinner on weekends — a notable drop. RN hours go from 0.58 to 0.24 per resident-day. (Payroll-based daily records; the national median home is 15% thinner on weekends.)

This home’s total nursing-staff turnover of 32% is below the national median of 45%.

Payroll-based (PBJ) staffing hours, as reported for Jan–Mar 2026 (CMS PBJ CY2026Q1) — the most recent quarter CMS has published, so they can lag a change of operator or staffing agency. Higher is generally better. Registered-nurse coverage and weekend staffing are the numbers families most often overlook — an RN on site matters most when something goes wrong, and coverage usually thins on weekends. High turnover means residents rarely see the same caregiver twice. One caveat: these are hours as reported, not adjusted for how sick or heavy-care this home’s residents are. CMS separately publishes a case-mix-adjusted view; we show the reported hours. A home caring for higher-acuity residents needs more hours to deliver the same care, so compare these figures against homes doing similar work, and read them next to the inspection record rather than alone.

Inspection trend

Deficiencies are fewer than at the previous inspection — improving. Fewer citations over time suggests a home is fixing problems; a rising count is a warning sign — though two surveys are a short record, and survey teams differ. These counts are from the standard annual health survey only; the full citation list below may also include findings from complaint investigations, so the two won’t always add up.

Inspection deficiencies

State health-inspection citations, most serious first. Each carries an F-code (the federal rule it cites, e.g. F-684 = quality of care) and a letter A–L marking how serious and how widespread the problem was — we translate that grid into the plain tiers shown here. Wording is the official federal description.

Each letter is a CMS scope-severity level; highlighted ones are where this home has citations. A–C = no harm found; D–F = potential for harm; G–I = actual harm; J–L = immediate jeopardy. Within each band the later letter is the more widespread finding (an isolated G is one resident; a widespread I is a pattern), so rightward and downward is worse.

18 citations, most serious first. The 10 most serious are shown; the remaining 8 are one tap away and print in full.

• Potential for harm · Dcited before2026-03-04 · tag F0684 — failed to provide proper treatment and quality of care — isolated
  Provide appropriate treatment and care according to orders, resident’s preferences and goals.
  What the surveyor found here — an excerpt from the official record, may be distressing

  LICENSE REFERENCE NUMBER TITLE 175 CHAPTER 12-006.09Based on record reviews, and interviews, the facility failed to follow practitioner orders for 1 resident (Resident 1) of 3 sampled residents. The facility census was 90. Findings are: A record review of an admission Record dated 3/4/26 for Resident 1 revealed an admission date of 2/11/26 with an admission diagnosis of acute on chronic diastolic (congestive) heart failure (a condition in which your heart's main pumping chamber {left ventricle} becomes stiff and unable to fill properly, experiencing shortness of breath, fatigued, and swelling in your belly or legs {edema}). A record review of a Care Plan Report dated 2/11/26 for Resident 1 revealed a focus on medication regimen including medications with Black Box Warnings (FDA's most serious drug safety alert, highlighting medications that carry a risk of severe, life-threatening, or permanently disabling side effects). Interventions indicated: consulting pharmacist to conduct monthly and PRN (as needed) medication reviews, medication as per physician order, and report any concerns…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
• Potential for harm · Ecited before2025-12-04 · tag F0684 — failed to provide proper treatment and quality of care — pattern
  Provide appropriate treatment and care according to orders, resident’s preferences and goals.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Licensure Reference Number 175 NAC 12-006.09(H)(iv)(5)Based on record review, interview, and observation the facility failed to re-evaluate and revise interventions to treat ongoing constipation for 4 of (Residents 57, 14, 30, and 75) residents sampled. The facility census was 77.Findings were:Record review of the facility Bowel Elimination Protocol dated 06/2024 revealed that each night after midnight the night nurse will review the elimination records for their nurses' station and then prepare a list of residents who are in need of interventions for bowel management and document on the protocol sheet that is used each night.On the 2nd day or 48 hours without a Bowel Movement (BM) the staff would offer 4 ounces of prune juice or natural laxative of resident's choice and then record on the protocol worksheet.On the 3rd day (Day Shift) without a BM, the resident was to receive Milk of Magnesia (MOM) 30 ml orally or Miralax or whatever as needed medication is ordered by their physician in the morning of the 3rd…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
• Potential for harm · Ecited before2025-12-04 · tag F0880 — failed to prevent and control infections — pattern
  Provide and implement an infection prevention and control program.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Licensure Reference Number 175 NAC 1-005.06(D)Licensure Reference Number 175 NAC 12-006.18(B)Based on observation, record review, and interview the facility failed to perform hand hygiene (hand washing using soap and water or an alcohol-based hand rub (ABHR) to remove germs for reducing the risk of transmitting infection among patients and health care personnel) prior to applying gloves for patient contact, and failed to maintain infection control for catheter use for Resident 42. The facility census was 77. Findings are: A. Record review of the facility policy titled Hand Hygiene dated 9/12/17 revealed that hand hygiene is to occur before and after patient contact. Record review of the current care plan for Resident 7 dated 12/1/25 revealed that Resident 7 was at risk for infection related to indwelling Foley Catheter (a flexible plastic hollow tube inserted into the bladder to continuously drain urine). Interventions included proper hand hygiene. Observation on 12/3/25 at 2:15 PM outside the room of Resident 7 revealed that Nurse Aide-I (NA-I) put on a gown and gloves. (NA-I did…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Infection Control Deficiencies · Deficient, Provider has date of correction
• Potential for harm · D2025-12-04 · tag F0605 — failed to not use drugs as a restraint — isolated
  Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Licensure Reference Number 175 NAC 12-006.09(H)Based on Record review and interviews, the facility failed to ensure approved diagnosis and monitoring for medications and side effects of antipsychotic medications for 2 of 5 residents reviewed (Resident 57 and Resident 10) as required. This had the potential for adverse side effects of antipsychotic medication to go unaddressed. The facility census was 77.Findings were:A. Record review of the admission MDS dated [DATE] for Resident 57 revealed the resident was admitted on [DATE]. Resident 57 had no moods or behaviors, did not wander, did have frequent pain which at times interfered with daily activities, and took the following types of medications: antipsychotic, antianxiety, antidepressant, hypnotic, diuretic, and opioids. Record review of the Medical Diagnoses listed in the electronic medical record on 12/2/2025 revealed Resident 57 had diagnoses for depression, insomnia (difficulty sleeping), anxiety disorder, chronic pain, hypertension (high blood pressure),…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Freedom from Abuse, Neglect, and Exploitation Deficiencies · Deficient, Provider has date of correction
• Potential for harm · D2025-01-13 · tag F0686 — failed to prevent and treat pressure sores (bedsores) — isolated
  Provide appropriate pressure ulcer care and prevent new ulcers from developing.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Licensure Reference Number 175 NAC 12-00.609 (H)(iii)(2) Based on observation, record review, and interview, the facility failed to provide wound care according to physcian orders for 2 residents, (Resident 2 and Resident 3) of 3 sampled residents, and the faccility failed to obtain physican orders for wound care for a pressure injury for 1 residnet (Resident 1) of 3 sampled residents. The facility census was 71. Findings are: Review of a facility policy titled Skin and Wound Management Standard dated 04/2019 revealed the treatment plan will be specific for each individual resident as directed by the physician. A. A review of an admission Record revealed the facility admitted Resident 2 on 05/14/2024 with diagnoses of hepatic failure (when the liver can no longer function properly), congestive heart failure (when the heart cannot pump enough blood to the body), and dementia (which is a condition where thinking abilities are impaired enough to interfere with daily living). The Quarterly Minimum Data Set (MDS, a…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
• Potential for harm · Dcited before2025-01-13 · tag F0880 — failed to prevent and control infections — isolated
  Provide and implement an infection prevention and control program.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Licensure Reference Number 175 NAC 12-006.18B Based on observation, record review, and interview, the facility failed to use Enhanced Barrier Precautions during direct care and to clean lifts between resident use for 1 resident (Resident 3) of 3 sampled residents, failed to provide wound cleansing in a manner to prevent cross contamination for 1 resident (Resident 2) of 3 sampled residents. The facility census was 71. Findings are: A. Review of a facility policy titled Policy for Enhanced Barrier Precautions (EBP) dated 04/05/2024 revealed that enhanced barrier precautions refer to an infection control intervention designed to reduce transmission of multidrug-resistant organisms that employs the use of gown and gloves during high contact resident cares such as transferring and changing briefs or assisting with toileting. Review of a facility policy titled Mechanical Lift and Transfer Standard dated 10/2024 revealed instruction for lift disinfection procedure to wipe all lift surfaces that come into direct contact with resident's skin with a approved disinfectant between each…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Infection Control Deficiencies · Deficient, Provider has date of correction
• Potential for harm · E2024-10-16 · tag F0758 — failed to limit and justify psychotropic drugs — pattern
  Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Licensure Reference Number 175NAC 12-006.09(H) Based on observation, record review, and interview; the facility failed to ensure residents medication regimen was free from unnecessary psychotropic medications for 2 (Residents 10, and 32) of 6 sampled residents, and the facility failed to implement a stop date for a PRN (as needed) psychotropic medication for 1 (Resident 12) of 5 sampled residents. The facility census was 77. Findings are: A. Review of a facility policy titled Psychoactive Medication and Medication Regimen Review Management Standard and dated 09/2024 revealed: -Unnecessary Drug is defined as any medication used in excessive dose, excessive duration, with out adequate monitoring, with adequate indications, and in the presence of adverse consequences or any combinations of the reasons stated. -Section 5. Gradual dose reduction or tapering of medications should be reviewed during weekly risk meeting. -Antidepressant medications gradual dose reduction. Tapering may be clinically contraindicated if…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Pharmacy Service Deficiencies · Deficient, Provider has date of correction
• Potential for harm · E2024-10-16 · tag F0803 — failed to meet residents' dietary needs — pattern
  Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Licensure Reference Number 175NAC 12-006.11(A)(i) Based on observation, interview and record review the facility failed to ensure that residents were served the required food portion size per the menu to meet nutritional needs for 50 of 58 residents (Residents 68, 19, 7, 57, 28, 5, 9, 47, 22, 36, 41, 32, 61, 49, 46, 71, 38, 45, 20, 63, 39, 14, 30, 279, 229, 59, 43, 64, 76, 48, 18, 52, 16, 53, 66, 3, 40, 74, 17, 51, 50, 75, 4, 62, 72, 24, 35, 29, 25, and 8). The facility census was 77. Findings are: Record review of the facility Food Preparation and Dining Service Audit dated 4/2022 revealed that standardized recipes are available for all menu items. The audit revealed that portions are served according to the menu unless the resident specifically requests otherwise. Record review of the Dietary Spreadsheet (menu) for 10/10/24 revealed that the lunch meal was Beef Chili. The menu revealed that the regular portion size for the beef chili was 8 ounces. Observation on 10/10/24 at 11:10 AM in the facility kitchen at the steam table revealed that a black handled ladle was in the pan of…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Nutrition and Dietary Deficiencies · Deficient, Provider has date of correction
• Potential for harm · Ecited before2024-10-16 · tag F0880 — failed to prevent and control infections — pattern
  Provide and implement an infection prevention and control program.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Licensure Reference Number 175NAC 1-005.06(D) Licensure Reference Number 175NAC 1-005.06(F) Based on record review, interview, and observations; the facility failed to ensure staff complete hand hyigene between resident rooms while delivering laundry to prevent the potential for cross contamination for 4 (Residents 71, 16, 53, and 43) of 5 residents observed and the facility failed to ensure that oxygen equipment and supplies were maintained per infection control procedures as required for 1 of 2 residents (Resident 50). The facility census was 77. Findings are: A. Observation on 10/10/2024 at 10:35 AM of Laundry and Housekeeping Supervisor (LHS) who delivered cleaned laundry to the rooms of residents. LHS removed laundry from the laundry cart and carried it into the room of Reisdent 60. LHS exited the room carrying used empty hangers with the bare hands and placed them into the laundry cart. LHS did not perform hand sanitization. LHS entered the room of Resident 71 with cleaned personal clothing items and…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Infection Control Deficiencies · Deficient, Provider has date of correction
• Potential for harm · D2024-10-16 · tag F0661 — isolated
  Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Licensure Reference Number 175NAC 12-006.09(G)(i) Based on record review and interview; the facility failed to ensure that a recapitulation (a concise summary of the resident's stay and course of treatment in the facility) of the resident's stay was completed as required for 1 of 1 residents reviewed (Resident 78). The facility census was 77. Findings are: Record review of the admission Record dated 10/16/2024 for Resident 78 revealed that Resident 78 admitted into the facility on [DATE]. Resident 78 had a discharge date of 08/14/2024. Record review of the Care Plan for Resident 78 dated 10/16/2024 revealed that Resident 78 had a goal to return to their own home with their spouse. Record review of the Minimum Data Set (MDS, a mandatory comprehensive assessment tool used for care planning) for Resident 78 dated 07/11/2024 revealed that it was an admission assessment. The MDS revealed that Resident 78 and their spouse participated in the assessment and goal setting. The MDS revealed that Resident 78's overall goal…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Resident Assessment and Care Planning Deficiencies · Deficient, Provider has date of correction

“Cited before” means this same F-tag appears on at least one other survey date in the record we hold — counting complaint investigations as well as standard surveys, with no time limit. It is our own read of the data, not CMS’s: CMS uses repeat deficiency as a formal term tied to consecutive standard surveys, and that is a narrower test than this one. A tag marked here may or may not meet it.

Fines & penalties

No federal fines in the current CMS record.

Part of a chain

This home belongs to VETTER SENIOR LIVING — 22 facilities. Here is how its ratings compare with the chain’s average across all its homes: See the whole chain — ratings, flags, fines and finances →

A home rated well below its chain’s average can signal local problems; a chain with a low average across the board is a bigger pattern worth researching. CMS chain data under-reports private-equity and REIT ownership, so treat this as a floor, not the full picture.

Who owns this facility

CMS files one row per role, so the 19 rows in the source record cover these 8 parties — each is shown once here with every role it holds. Nothing is omitted.

2 organizational owners listed — a facility can be part of a larger chain. CMS ownership data is known to under-report private-equity and REIT ties; treat as a starting point.

Follow the money — this home’s finances

Where a nursing home’s revenue comes from and where it goes — including money paid to companies under the same ownership. Most consumer sites never show this; we reproduce it straight from the Medicare cost report.

This home reported $551K paid to related parties (affiliated landlords or management companies) in its most recent cost report.

Source: CMS Healthcare Provider Cost Reporting Information System (HCRIS), Medicare cost report Form CMS-2540 · fiscal year 2024. Facilities self-file these reports; figures are unaudited and a year or two behind. A home with no Medicare cost report on file shows no figures here.

Cost & finances

Straight from this home’s Medicare cost report (CMS, FY2024). These are its operating economics — what it costs to run per resident-day and what it collects on average across Medicare, Medicaid, and private pay — not a private-pay quote. Your out-of-pocket cost depends on payer and room type, so ask the facility directly; a higher operating cost can reflect richer staffing or a sicker population. The cost-of-care planner shows regional benchmarks by care type.

What families pay in NE